Individual
ERIK RITTENHOUSE LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1441 FLORIDA AVENUE, MODESTO, CA 95350
(209) 576-3609
Mailing address
2100 POWELL STREET, STE. 920, EMERYVILLE, CA 94608-1803
(510) 350-2600
(510) 879-9100
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A83901
CA
207P00000X
Emergency Medicine Physician
M2996
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A839010
—
CA
Enumeration date
05/24/2006
Last updated
06/23/2020
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